| NPI | 1366081960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL HALL Executive Director 770-559-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |